Retreat Dietary Questionnaire — Dharma Laundry

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Retreat Dietary Questionnaire

Please complete the following questionnaire to help us customize your retreat experience to best suit your needs.

Name *

First Name

Last Name

1. Dietary Restrictions

Vegetarian

Vegan

Gluten-free

Dairy-free

Nut-free

Other *Comment below

Other Dietary Restrictions:

2. Food Allergies

Please list any food allergies you have (e.g., peanuts, shellfish, soy, etc.):

3. Additional Notes

Is there any other information regarding your dietary needs that you would like us to know? Please specify:

4. Beverage Preferences

Check all that apply:

Coffee

Tea

Dairy Milk and/or Creamer

Non-Dairy Milk (Share preferred type below such as almond, oat, etc.)

Non-dairy preference:

Alcohol Preferences

We serve wine with evening happy hours and dinner alongside an assortment of non-alcoholic beverages. Please select all that apply.

Red

White

Rosé

Sparkling

5. Breakfast Preferences

We serve a continental breakfast each morning, please share your preferences:

Sweet (pastry, toast bar, granola, yogurt, etc.)

Savory (eggs, veggies, cheese, etc.)

Other (Share below)

Other

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